Mount Calvary Baptist Church - Mount Calvary Baptist Church
One Church two locations, A Multi-Ethnic Ministry

VBS 2017 Registration Form

PERSONAL INFORMATION
Adult #1
Name
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Birth Month/Year (optional)
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Last School Grade
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Adult #2
Name
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Birth Month/Year (optional)
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Last School Grade
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Minor Child(ren)
Child #1 Name
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Birth Month/Year
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Last School Grade
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Child #2 Name
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Birth Month/Year
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Last School Grade
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Child #3, Name
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Birth Month/Year
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Last School Grade
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Child #4, Name
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Birth Month/Year
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Last School Grade
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Address
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City, State, Zip
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Best Contact Phone/Mobile Number (Only One)
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Email
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MEDICAL INFORMATION
Medical or other required information including food allergies (related name for each condition)
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Emergency Contacts/Who May Pick-up. Please give the name, relation and phone number for 1 to 3 persons.
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OTHER INFORMATION
Do you and/or your child attend Sunday School? ( Select One)
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If yes, where?
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Are you and/or your child a member of any church? (Select One)
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If yes, where?
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If you are visting MCBC, whose guest are you?
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Do we have permission to photograph you and/or your child for promotional purposes? (Select One)
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Comments
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Captcha(*)
Captcha
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Mission Possible Campaign Learn more about the compain here
Youth Ministry Bible Study